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Individual

MICHAEL PUCHAEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 427-2574
Mailing address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
19814
MS
174400000X
Specialist
42528
TN
207R00000X
Internal Medicine Physician
19814
MS
207R00000X
Internal Medicine Physician
D83836
MD
208M00000X
Hospitalist Physician
Primary
D83836
MD

Other

Enumeration date
06/20/2007
Last updated
05/01/2023
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